Agalsidase beta 35 mg intravenous solution at LAFAYETTE REGIONAL HEALTH CENTER
1500 State St, Lexington, MO · Hcamidwest · · NPI 1679520258
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$230.32 with United vs $380.03 with United — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | KSMGMCD | $230.32 | — |
| Home State Health Plan | MCD | $231.75 | — |
| HealthyBlue | MGMCD | $234.93 | — |
| Sunflower State Health Plan | MCD | $237.23 | — |
| Amerigroup | MGMCD | $239.53 | — |
| Aetna Better Health | MCD | $239.53 | — |
| Unicare | MGMCD | $239.53 | — |
| United | MOMGMCD | $245.12 | — |
| United | AllPayerAppendix | $380.03 | — |
Visitor-reported prices
Comments
Agalsidase beta 35 mg intravenous solution at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mercy Hospital Lincoln | Troy | $19,651.83 | $1,542.00 – $1,542.00 |
| Mercy Orthopedic Hospital Springfield | Ozark | $15,773.87 | $225.94 – $2,436.85 |
| RESEARCH MEDICAL CENTER | Kansas City | $20,629.00 | $222.84 – $269.64 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $232.72 – $255.99 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $232.72 – $255.99 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $223.52 – $302.73 |
| SSM Health St. Joseph Hospital- Wentzville | Wentzville | not published | $247.18 – $368.81 |
| SSM Health St. Joseph Hospital - St. Charles | Saint Charles | not published | $232.72 – $255.99 |